Active NPI
Ernesto Javier Jimeno Chacin, MD
- Pediatrics Physician
- Richmond, TX
National Provider Identifier
1477119394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- U1302
- Practice address
- 9115 FM 723 Rd Ste 900
Richmond, TX 77406-9236 - Phone
- (281) 742-0708
- NPI assigned
- May 16, 2019
- Last updated
- Mar 31, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 34800R | PR | |
| Pediatrics Physician | 208000000X | U1302 | TX | Primary |
Addresses
Primary practice location
9115 FM 723 Rd Ste 900
Richmond, TX 77406-9236
Mailing address
12377 Merit Dr Ste 300
Dallas, TX 75251-3126
Phone (787) 844-2080
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34800R | PR | MD | Pediatrics Physician |
| U1302 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Topcare Medical Group Inc | Current | Accepting new patients |
Locations
12377 Merit Dr
Ste 300
Dallas, TX 75251
222 Las Colinas Blvd W
Ste 2000
Irving, TX 75039
9115 FM 723 Rd
Ste 900
Richmond, TX 77406
Phone (281) 742-0708
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680220800000",
"number": "1477119394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12377 MERIT DR STE 300",
"city": "DALLAS",
"state": "TX",
"postal_code": "752513126",
"telephone_number": "787-844-2080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9115 FM 723 RD STE 900",
"city": "RICHMOND",
"state": "TX",
"postal_code": "774069236",
"telephone_number": "281-742-0708"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JIMENO CHACIN",
"first_name": "ERNESTO",
"middle_name": "JAVIER",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-05-16",
"last_updated": "2023-03-31",
"certification_date": "2023-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PR",
"license": "34800R",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "U1302",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.